Abstract
Pyoderma gangrenosum (PG) as an idiopathic, ulcerative inflammatory skin disease with varying clinical pictures is due to the non-specific histology primarily a clinical exclusion diagnosis. The rapid progression, as well as the often fatal course of Pathergy’s phenomenon after surgical intervention is a therapeutic challenge. With the example of complicated course of a 47-year old patient with free DIEP flap for bilateral breast reconstruction due to PG we want to pay attention to this often underrated disease.
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References
Brunsting L, Goeckermann U, O’Learly P (1930) Pyoderma (ecthyma) gangrenosum and rheumatoid arthritis. Arch Dermatol Syph 22:655–680
Altmeyer P (2010) Enzyklopädie dermatologie. Springer, Berlin/Heidelberg
Wollina U, Haroske G (2011) Pyoderma gangraenosum. Curr Opin Rheumatol 23(1):50–56
Wollina U, Karamfilov T (2000) Treatment of recalcitrant ulcers in pyoderma gangrenosum with mycophenolate mofetil and autologous keratinocyte transplantation on a hyaluronic acid matrix. J Eur Acad Dermatol Venereol 14(3):187–190
Wollina U (2007) Pyoderma gangrenosum–a review. Orphanet J Rare Dis 2:19
Wollina U (2002) Clinical management of pyoderma gangrenosum. Am J Clin Dermatol 3(3):149–158
Mansur A, Balaban D, Göktay F, Takmz S (2010) Pyoderma gangrenosum on the breast: a case presentation and review of the published work. J Dermatol 37(1):107–110
Trémezaygues L, Schmaltz R, Vogt T, Reichrath J (2010) Management of pyoderma gangraenosum. An update on clinical features, diagnosis and therapy. Hautarzt 61(4):345–355
Wenzel J, Gerdsen R, Phillipp-Dormston W (2005) Topical treatment of pyoderma gangrenosum. Dermatology 25:221–223
Hasselmann DO, Bens G, Tilgen W, Reichrath J (2007) Pyoderma gangrenosum: clinical presentation and outcome in 18 cases and review of the literature. J Dtsch Dermatol Ges 5(7):560–564
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Harhaus, L., Daigeler, A., Kneser, U. (2016). Pyoderma Gangrenosum as Major Complication in Breast Reconstruction. In: Shiffman, M. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-18726-6_136
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DOI: https://doi.org/10.1007/978-3-319-18726-6_136
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18725-9
Online ISBN: 978-3-319-18726-6
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